DR. ROCKY G HANSEN (OD) – Optometrist, NPI 1003804667

DR. ROCKY G HANSEN (OD) is a healthcare provider. based in Greenville, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901002646 (MI). The NPI Number for DR. ROCKY G HANSEN (OD) is 1003804667

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROCKY G HANSEN (OD)
NPI
1003804667
Phone
(616) 754-7143
Address
307 S FRANKLIN ST
Enumeration Date
7 October 2005
Last Update Date
7 February 2020

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
6167547143
Graduation Year
1978 (48 years ago)
PAC ID
7618069691
Group Practice PAC ID
0547217184
Professional Enrollment ID
I20070822000850
Address ID
MI488381759GR307XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for DR. ROCKY G HANSEN (OD)

  • 307, South Franklin Street, Greenville, Montcalm County, Michigan, 48838, United States

    GREENVILLE, MI 488381759

    Phone: (616) 754-7143

    Fax: (616) 754-2778

    Type: Mailing

  • 307, South Franklin Road, Sans Souci, Greenville County, South Carolina, 29609, United States

    GREENVILLE, MI 488381905

    Phone: (616) 754-7143

    Fax: (616) 754-2778

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Alcon Vision LLC ($70).

Total Amount

$70

General + Research + Ownership

Payments

3

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$70
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070822000850IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system154151$0
92004New patient complete exam of visual system3838$0
66984Removal of cataract with insertion of prosthetic lens1911$0
99212Established patient office or other outpatient visit, 10-19 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 48838)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547217184View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YIL
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

How do I look up DR. ROCKY G HANSEN (OD) by NPI?
Use NPI 1003804667 when you need to reference DR. ROCKY G HANSEN (OD) in forms, claims, or directories.
Is DR. ROCKY G HANSEN (OD) active in the national directory?
DR. ROCKY G HANSEN (OD)'s public NPI profile is in an active state.
What does DR. ROCKY G HANSEN (OD) treat or focus on?
Patients typically see DR. ROCKY G HANSEN (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. ROCKY G HANSEN (OD)'s primary listing?
We display Greenville, Michigan because that is what the record indicates for DR. ROCKY G HANSEN (OD).
Is DR. ROCKY G HANSEN (OD) a real provider?
This page reflects official NPPES data for NPI 1003804667. Always confirm identity and privileges with the practice and licensing boards.

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